ICFE uses TherapyAppointment as our Electronic Records System. After you have chosen me as your therapist and scheduled you for your first appointment the steps below will help you in creating your client profile within Therapy Appointment:

1. I will send you a link directly from TherapyAppointment, this link is only valid for 48 hours, after that you will need to contact me or the front office at 210-496-0100 to have a new link sent.

2. To set up your profile in TherapyAppointment you will need your email and date of birth.

3. Once you are logged in you will be asked to complete your profile and place a credit card on file.

4. You will then need to click the tab for Docs and Forms and complete the paperwork that I have assigned.

5. Please complete all your paperwork and then send me a message within the portal with a copy of your photo ID, you may also bring this with you to your first appointment.

If you have trouble setting up your portal please reach out or contact the ICFE front office for support.

My rate for a 50 minute session is $160. Many clients see this as an investment in their well-being and in the relationships that matter most—supporting deeper understanding, healthier patterns, and lasting change. If you have questions or want to talk through whether it’s a good fit, I’m always happy to connect.

Clients may choose to pay for services with cash, check, or credit card. Health Savings Accounts and similar options are also usually accepted, depending on the terms of the account set by the administrator of the fund. Clients will be prompted to enter a credit card number in their online client portal prior to their first session- credit card information is stored securely in a PCI-compliant format within ICFE’s electronic record system.

I value providing thoughtful, personalized care that is guided by your goals rather than insurance requirements. Operating outside of insurance networks allows me to provide high-quality care rooted in evidence-based practices while offering greater flexibility and confidentiality in treatment. Many clients choose to seek reimbursement through their out-of-network benefits, which may cover a portion of therapy costs.

I always recommend checking directly with your insurance company about out-of-network eligibility and terms. Here are some helpful questions for your insurance carrier representative to help determine coverage:

• Does my plan include out-of-network benefits for mental health or psychotherapy services?

• How much does my insurance pay for an out-of-network provider?

• What forms need to be completed to obtain reimbursement for psychotherapy with an out-of-network provider?

• Is preauthorization or a referral required for out-of-network psychotherapy services?

• Are there limits on the number of reimbursable sessions per year?

• What CPT codes are eligible for reimbursement (e.g., 90847, 90834, 90837)?

• What is the deadline for submitting out-of-network claims?

As a therapist, I value growth and accountability and welcome client feedback. I invite open and honest conversation whenever something doesn’t feel right or could be improved. If concerns arise, I encourage you to discuss them with me so we can work together toward a satisfactory resolution. In many cases, open dialogue can help clarify misunderstandings or address issues before a formal complaint becomes necessary.

If after open discussion, concerns remain related to ethical or legal compliance specific to my license as a Marriage and Family Therapist, a complaint may be submitted to the Texas Behavioral Health Executive Council (BHEC) through their online reporting system. Information about the complaint process, including access to the complaint form, is available at:
https://bhec.texas.gov/complaints.html

If a client believes they have experienced a consumer-related issue that they cannot resolve through open discussion with me, they may file a formal complaint with the Texas Office of the Attorney General’s Consumer Protection Division. Complaints can be submitted online by completing the Consumer Complaint Form, which requests basic information about the concern, including the provider involved, a description of the issue, and any relevant documentation.

For more information or to file a complaint, please visit:
https://www.texasattorneygeneral.gov/consumer-protection

You may also contact the Office of the Attorney General’s Consumer Protection Hotline at 1-800-621-0508 for assistance.

To request a copy of your therapy records, please send a written request to:

ICFE Custodian of Records
21015 Market Ridge
San Antonio, TX 78258

You can mail the request, deliver it in person, or email it to admin@icfetx.com.

What to Include in Your Request

To confirm your identity, your request must include:

• Your full name

• Your date of birth

• Your signature

• A copy of your photo ID

Please also specify how you would like to receive the records (e.g., mail, in-person pickup) and provide contact information in case there are questions. Including the time frame of your services is also helpful.

Requesting Records for a Minor

When requesting records for a minor, you must provide:

• The child’s full name and date of birth

• Your name and relationship to the child

• Your signature

• A copy of any legal documents that confirm you are entitled to receive the child’s medical records.

You can send these documents to admin@icfetx.com.

Requesting Couple or Family Records

For records from couples or family therapy, your request must include all of the above information as well as a signed HIPAA release form from all other parties involved. Records from group sessions cannot be released to one individual without consent from everyone in the record.

Under the No Surprises Act (H.R. 133 – effective January 1, 2022), health care providers, including mental health professionals, need to give clients or patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. 

This Good Faith Estimate shows the costs of items and services you can reasonably expect for your health care needs. You have the right to receive a GFE for the total expected cost of any non-emergency items or services. The GFE does not include any unknown or unexpected costs that may arise during treatment. You may experience additional charges if complications or exceptional circumstances occur. If you receive a bill at least $400 more than your GFE, you may dispute or appeal the bill. 

If such instances occur, you may contact your me to let me know the billed charges are higher than the GFE. You may ask me to update the bill to match the GFE, negotiate the bill, or ask if financial assistance is available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about four months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this GFE. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. 

Make sure your health care provider gives you a GFE within the following timeframes from your initial appointment:

• If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;

• If the service is scheduled at least ten business days before the appointment date, no later than three business days after the date of schedule; or

• If the uninsured or self-pay client requests a GFE (without scheduling the service), no later than three business days after the date of the request. Healthcare providers must supply a new GFE within the specified timeframes if the patient reschedules the requested item or service.

Note: A Good Faith Estimate is for your awareness only and does not require immediate financial commitment or payment. Clients are ultimately in charge of costs because services are charged at an hourly rate; therefore, your GFE will likely be written to include a wide range of costs in order to take client choice into consideration. For example, clients may choose to attend therapy weekly or biweekly. Frequency of attendance and length of sessions scheduled is the largest factor influencing client cost. 

To learn more, go to www.cms.gov/nosurprises or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you receive a bill in a higher amount.

If you have questions or concerns, please reach out to me directly.